Periosteal chondroma with spinal cord compression in the. It arises beneath the periosteum and is characterized by the presence of chondrocytes, a lobulated growth pattern, and calcification. Periosteal chondroma definition of periosteal chondroma by. Intracortical chondroma simulating osteoid osteoma treated by radiofrequency. Periosteal aneurysmal bone cyst the lancet oncology. It is the periosteal counterpart of medullary enchondroma. Furthermore, the mass is relatively small, measuring 2. Periosteal chondroma can be seen from children to adults in all age groups, is located in the backbone of. A chondroma that develops from periosteum or periosteal connective tissue. The size of reported periosteal chondrosarcomas range, 314 cm.
They were incidental findings, which subsequently underwent surgical excision and confirmed the imaging findings of a kissing osteochondroma and a periosteal juxtacortical chondroma. Periosteal chondroma develops on the surface of bone, and soft tissue chondromas often form on tendons that attach muscles to bone. Periosteal chondroma is a very unusual cartilaginous neoplasm of the spinal canal. We herein report a case of periosteal chondroma in a 41yearold male who presented with gait disturbance and paresthesia of both lower extremities. Here, we retrospectively describe and analyse 24 cases of periosteal chondroma of the hand. Chondroma symptoms and treatments aurora health care. Male patients are more commonly affected than female patients. Periosteal chondroma is a rare benign hyaline cartilage neoplasm that occurs most commonly in the metaphases of long tubular bones. Periosteal chondroma is a slowgrowing benign cartilaginous tumor of limited size arising within or under the periosteum, which, through constant pressure, induces cortical erosion and periosteal. The typical tumor consisted in an area of outer cortex remodeling scalloping involving the metaphyseal lesion of a long bone with slightly overhanging edges and a small amount of cartilage calcified matrix adjacent to the scalloping. Aurora health care, serving eastern wisconsin and northeastern illinois. It is made up of cartilage, a tough, flexible connective tissue found in many areas in the body. Fifty percent of periosteal chondromas occur in the long bone of the arm. The signs and symptoms of periosteal chondroma are similar to those of solitary enchondroma.
The authors report a rare case of a periosteal chondroma in the premolar region of. Tumor biology rare, slowgrowing, benign, generally active cartilage lesion not known to metastasize arises on the surface of bone with underlying cortical scalloping age second through fourth decades gender m. Pdf periosteal chondroma of the sacrum researchgate. Physical examination revealed a slightly protuberant, subcutaneous mass. We present an unusual case of two synchronous chondroid matrix lesions in the proximal femur of a 16yearold male. A giant periosteal chondroma of the distal femur successfully. Pdf periosteal chondroma of radius diaphysisrare presentation. Pathology outlines juxtacortical periosteal chondroma. Periosteal chondroma is one type of chondroma, occurred in the surface of bone, the periosteum, the tendons and ligament. You were so generous to give up your time on a weekend to operate on my femur. Periosteal chondroma childrens hospital of philadelphia. Giant periosteal chondroma of the rib associated with. Periosteal chondroma histologically the tumor is very similar to enchondroma, but it more frequently displays features of cell proliferation high cellularity.
Pdf intracortical chondroma simulating osteoid osteoma. Magnetic resonance mr images showed an extradural mass which caused compression of the spinal cord at the t56 level. The first description of periosteal chondroma was published by keiller 1 in. Kissing periosteal chondroma and osteochondroma springerlink. Periosteal chondroma is a benign hyaline cartilage tumor of the bone surface that develops from the periosteum. Original article periosteal chondroma of the proximal. Pdf on feb 20, 2019, praveen pandey and others published periosteal chondroma of radius diaphysisrare presentation find, read and cite all the research you need on researchgate. Periosteal chondroma is a slowgrowing benign cartilaginous tumour of periosteal origin. Periosteal chondroma is a rare, benign tumor on the surface of the bone. This is the presentation of a unique case of periosteal chondroma arising in the left distal tibial metaphysis of a 25yearold female patient with a history of antecedent trauma. Rather rare it prefers the male sex and is usually observed in children or young adults because it is. They were incidental findings, which subsequently underwent surgical excision and confirmed the imaging findings of a kissing osteochondroma and a periostealjuxtacortical chondroma. Is petct an accurate method for the differential diagnosis between chondroma and chondrosarcoma. Desmoplastic fibroma is an extremely rare tumor of bone with a reported incidence of 0.
Nov 22, 2014 periosteal chondromas are rare benign cartilaginous tumors that arise adjacent to the cortex beneath the periosteum. It is painless and commonly seen in younger patients. Additionally, if the mass is in the early stages of periosteum chondroma formation, the cortex may not yet be eroded, making it nearly impossible for a ct scan to distinguish between cc and periosteal chondroma based on this characteristic. Learn about chondroma symptoms, tests, diagnosis and the best treatment techniques from world renowned neurology specialists. Plain radiographs and computed tomography scans showed a. Periosteal chondroma of the ribreport of a case and. Additional names for this lesion are parosteal chondroma and juxtacortical chondroma. Periosteal and soft tissue chondromas orthoinfo aaos. Periosteal chondroma medigoo health medical tests and.
The authors report a rare case of a periosteal chondroma in the premolar region of the. The patient recovered and was discharged on postoperative day 6. Periosteal chondromas are rare benign cartilaginous tumors that arise adjacent to the cortex beneath the periosteum. Pdf periosteal chondroma is a slowgrowing, cartilaginous, surface tumor that usually occurs in the second and third decades of life. The vertebral column was reconstructed with anteriorposterior. Periosteal chondroma is a rare, benign cartilaginous tumor that arises from the periosteal tissues. Kissing periosteal chondroma and osteochondroma request pdf. Periosteal chondroma is a painful cartilaginous lesion that arises from surface of cortex deep to the periosteum, producing broad based cartilaginous mass that may extend into soft tissues. The differential diagnosis based on the imaging findings of the cortical arising tumour included modalities such as periosteal aneurysmal bone cyst, periosteal ewings sarcoma, periosteal osteosarcoma, periosteal chondroma, andless likely, because of the patients ageperiosteal metastatic lesion such as from primary lung cancer. Chondromas are noncancerous tumors made of cartilage. We present a patient with a spinal juxtacortical chondroma causing spinal cord compression and a cervical deformity treated with surgical resection and circumferential spinal fixation and stabilization.
By definition, periosteal chondroma must arise from the periosteum and result in pressure changes in the adjacent cortex. However, it is known that benign periosteal or juxtacortical chondromas can have atypia. Imaging features of periosteal chondroma manifesting as a. Juxtacortical periosteal chondromas arise from the surface of periosteum and rarely affect the cervical spine. Periosteal chondroma is a benign cartilaginous tumour that is less common than enchondroma and rarely arises at the hand. They are often found in the small bones of the hands and feet. It develops adjacent to the cortex of the bone and is rimmed by an intact periosteal membrane. Jul 11, 2019 nojima t, unni kk, mcleod ra, pritchard dj. It does not infiltrate the adjacent soft tissue but may increase in size. Periosteal chondroma of the sacrum pubmed central pmc. Rather rare it prefers the male sex and is usually observed in children or young adults because it is more often symptomatic than an enchondroma. Wittig, i am writing at a loss to find adequate words to thank you for all that you have done for me. Pdf periosteal chondroma is a slowgrowing benign cartilaginous tumour of periosteal origin. Periosteal chondroma, chondroma, humerus case report periosteal chondroma is a slowgrowing benign cartilaginous tumor of limited size arising within or under the periosteum, which through constant pressure induces cortical erosion and periosteal reaction.
Concurrent soft tissue chondroma and periosteal chondroma of thumb 258 european journal of general medicine case a 34yearold man presented with a hard mass on the radial aspect of left thumb. However, periosteal chondrosarcomas are generally larger, occur in an older population, and tend to permeate the underlying bone with formation of bony spicules extending out from the cortex 2, 17, 34. Concurrent soft tissue chondroma and periosteal chondroma of. Periosteal chondroma and periosteal chondrosarcoma. The purpose of this study was to determine whether the imaging features of periosteal chondroid tumors correlate with histopathology. We could only find one reported case in the english literature of periosteal chondroma arising from the research and to the best of our knowledge, this is the second reported case. Cureus resection of cervical juxtacortical chondroma and.
It is a chondroma originating at the surface of the bone. Periosteal chondroma forms in the periosteum a fibrous membrane made up of blood vessels and connective tissue that covers the bone. It occurs mostly in the second and third decades of life and is found mostly in long, tubular bones. Roentgenograms reveal a small softtissue mass and an associated cortical excavation with a sclerotic border. Between 1993 and 2009, 24 patients females and 11 males had surgery conducted by several different surgeons in one of two surgical centres for periosteal chondroma of the hand.
Case report periosteal chondroma of the proximal humerus. It is the benign counterpart of periosteal chondrosarcoma. Radiographically, the typical periosteal chondroma was a small, wellmarginated tumor on the outer surface of a long bone. Periosteal chondroma may be the most difficult tumor to differentiate from periosteal chondrosarcoma. Rare usually 3 cm or less surface of long bone or small bones of hand feet usually teens to twenties, more common in males sites. During the operation, a giant 7 cmin diameter periosteal chondroma with involvement of the c5 and c6 vertebral bodies was resected. Juxtacortical or periosteal chondromas which originate adjacent to the periosteum below the cortical surface. The most common site of involvement is mandible reported incidence 22% of all desmoplastic fibroma cases followed by metaphysis of long bones. Benign and malignant periosteal chondroid tumors were first described in the 1950s and are now recognized as distinct disease entities 1,2,3,4. The authors document an even more infrequent occurrence of a recurrent periosteal chondroma in the cervical spine of a 6yearold boy. In conclusion, a rare case of periosteal chondroma of the cuboid with secondary aneurysmal bone cyst in a setting of secondary hyperparathyroidism due to vitamin d deficiency is presented. Periosteal chondroma atlas of musculoskeletal oncology. We present a unique case of periosteal chondroma arising in the proximal phalanx of the left index finger in a 12yearold boy. The current study reports the case of periosteal chondroma located in the distal femur of a.
If calcium flecks are deposited in the lesion, its cartilaginous origin becomes obvious. The radiographic features of 22 cases of histologically proven periosteal chondroma are analized in detail. Periosteal chondroma of the cuboid with secondary aneurysmal. Periosteal chondroma is a rare benign hyaline cartilage neoplasm situated on the bone surface. Periosteal chondroma is a rare benign cartilage tumor located on the. Here, we describe a 17yearold boy who had a giant periosteal chondroma of the right distal femur, which was treated with intralesional resection and intensive curettage. Periosteal chondromas are most common in the metaphyses of long bones followed by the small tubular bones of the hands and feet. Secondary hyperparathyroidism was detected in laboratory tests and put into context with the histopathologic findings. We could not find another report of these findings in the english literature. We report a rare case of periosteal chondroma arising from the left clavicle of a 56 year old male. The current study reports the case of periosteal chondroma located in the distal femur of a 14yearold female.
A benign neoplasm of bone surface composed of hyaline cartilage. Periosteal chondroma description, causes and risk factors. Periosteal chondroma of the pediatric cervical spine. This case presents a large periosteal chondroma of the rib associated with mediastinal deviation. Jan 23, 2015 periosteal chondroma is a rare benign cartilage tumor located on the cortical bone, which may be mistaken clinically and histologically for other and more common tumors in this location. Periosteal chondroma is a rare benign tumor of hyaline cartilage. A clinicopathologic study of 46 patients with periosteal chondroma and 14 patients with periosteal chondrosarcoma revealed that periosteal chondroma tended to affect younger patients and that the lesion was usually smaller. By definition, these tumors are of chondroid origin, arising in the periosteal layer of tubular bones, and are sometimes termed juxtacortical. Periosteal chondroma is a rare benign cartilage tumor located on the cortical bone, which may be mistaken clinically and histologically for other and more common tumors in this location.
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